Interest in lipolysis and the metabolism of triglyceride-rich lipoproteins was recently reignited by the discovery of severe hypertriglyceridemia (chylomicronemia) in glycosylphosphatidylinositol-anchored high density lipoprotein-binding protein 1 ( GPIHBP1)-defi cient mice. GPI-HBP1 is expressed exclusively in capillary endothelial cells and binds lipoprotein lipase (LPL) avidly. These fi ndings prompted speculation that GPIHBP1 serves as a binding site for LPL in the capillary lumen, creating "a platform for lipolysis." More recent studies have identifi ed a second and more intriguing role for GPIHBP1-picking up LPL in the subendothelial spaces and transporting it across endothelial cells to the capillary lumen. Here, we review the studies that revealed that GPIHBP1 is the LPL transporter and discuss which amino acid sequences are required for GPI-HBP1-LPL interactions. We also discuss the human genetics of LPL transport, focusing on cases of chylomicronemia caused by GPIHBP1 mutations that abolish GPIHBP1's ability to bind LPL, and LPL mutations that prevent LPL binding to GPIHBP1. The outline for the lipolytic processing of lipoproteins has been established for decades ( 1, 2 ). Triglyceride-rich Abbreviations: ANGPTL, angiopoietin-like protein; BODIPY, borondipyrromethane; CHO, Chinese hamster ovary; cLPL, chicken lipoprotein lipase; DiI, 1,1-dioctadecyl-3,3,3,3-tetramethylindocarbocyanine perchlorate; EL, endothelial lipase; GPI, glycosylphosphatidylinositol; GPIHBP1, glycosylphosphatidylinositol -anchored high density lipoprotein-binding protein 1; HSPG, heparan sulfate proteoglycan; Ly6, Lymphocyte Antigen 6; PIPLC, phosphatidylinositol-specifi c phospholipase C; SR-BI, scavenger receptor class B, type 1.
This work was supported by a Scientist Development Award from the American Heart Association, National Offi ce (to A.P.B.), R01 HL094732 (to A.P.B.), P01 HL090553 (to S.G.Y.), and R01 HL087228 (to S.G.Y.). The authors have declared that no confl ict of interest exists.
Manuscript received 28 June 2011 and in revised form